Coffman Counseling Llc | |
763 Revere St Bourbonnais IL 60914-4563 | |
(815) 549-0981 | |
Not Available |
Full Name | Coffman Counseling Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 763 Revere St, Bourbonnais, Illinois |
Authorized Official Name and Position | Jared Coffman (THERAPIST) |
Authorized Official Contact | 8155490981 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coffman Counseling Llc 763 Revere St Bourbonnais IL 60914-4563 Ph: (815) 549-0981 | Coffman Counseling Llc 763 Revere St Bourbonnais IL 60914-4563 Ph: (815) 549-0981 |
NPI Number | 1740958172 |
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Provider Enumeration Date | 08/31/2021 |
Last Update Date | 08/31/2021 |
Certification Date | 08/31/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740958172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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